| NPI | 1316437494 | 
|---|---|
| Doing Business As | OSU PHYSICIANS SOUTH TULSA OBGYN | 
| Entity Type | Organization | 
| Authorized Contact | ERIC JOHN POLAK VP 918-561-8422 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2018-05-15 | 
| Last Update Date | 2024-10-28 |